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HomeMy WebLinkAboutXR2022-2000 - Permits4r£WPOR City of Newport Beach Community Develor„�ent Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 U s Inspection Requests Phone: (949) 644-3255 Cq<IFO RN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof III II I II I I II I COMB Permit Plan Check No Issued Date : Inspection Area : 3 : XR2022-2000 2687-2021 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1201 HIGHLAND DR Legal Desc : N TR 3031 BLK LOT 38 Description: SFR REROOF: T/O (E) SHINGLES. INSTALL'TIMBERLINE' COMPSHINGLES W./ 30# FELT UNDERLAYMENT (45 SQUARES) **X2021-3099*** Owner: BIRE II LLC Contractor- Montesamos Builders Inc. Architect : Address : 7642 W IRVING PARK RD NORRIDGE, IL - Address : - 17 Tiburon Bay Drive, Corona Del Mar, CA Address: 60706 92625 Phone: Phone : (949) 239-2022 Phone: Con State Lic : 1077463-. State Lic Applicant : Montesanes Builders Inc. - Lic Expire : 06/30/2023 Address : 17 Tiburon Bay Drive, Corona Del Mar, CA Bus Lic; BT30076141 Engineer: 92625 Phone : (949) 239-2022 Bus Lic Expire : 08/31/2022 Address Workers' Compensation Insurance Phone Owner/Builder : Carrier : Address : Policy No : EXEMPT- NO EMPLOYEES Designer: Phone : W. C. Expire: Address Phone : Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone ; Y Added/New/TI sq. ft. Bldg Occupancy Groups : R-3,U No of Units : -- 1 - _ Alteration sq. ft. Bldg : Bldg Height : No of Stories: 1 _ Added/New sq. ft. Garage Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 _ Flood Zone : X Use Zone: R-1-6000- Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: R J ee SPECIAL CONDITIONS: $25,000.00 0 fi] I hereby affirm under penalty or perjury that i am exempt from the Contractors' Stale License Law for the reason(s) Indicaled below by the checkmark(s) 1 have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit lb construct, alter, improve. demolish, or repair any structure, prior to Its issue nee, also requires the applicant for Ie permit to lie a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 700) of Division 3 or the Business and rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of Or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law dries not apply to an Owner of property who, through employees or personal effort, builds or Improves the property, provided that the liprovements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the Owner -Builder will have the burden or proving trial It was not built or Oproved for the purpose of sale). .I I, as awnBr of the properly. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' Stale License Law does riot ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors Slate License Lave), I am exempt from licensors under the Conractors' Slate License Law for the following reason __,._ _. y my signature below I acknowledge that, except for my personal residence in which I must have resided for el least one year prior to completion of the Improvements Covered by INS permitI cannot legally all a structure MnL I have built as an owner builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ToNsslors Code, is aVBRabs upon request when this application is submitted or at the following Web site:hllpllwww.l8ginfo.ca.govlcalaw.html. �Ignature of Property Owner or Authorized Agent Date ,ICEN5FD C&NTRACTOR'S DECLARATION hereby o,fi, m under penally or perjury that I am licensed under provialons of Ghapter 9 (commencing with Section 7000 f D�?' ion 3 of the Business and Pmfessio a tso is in full force r.d effect, license Class License No Data Contractor Signature VORKERS' COMPENSATION DECLARATION ,ANING: FAG"RE TO SECURE WORKERS' GOMPEMSAT ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADDITION TO THE DUST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby n'firm under penDlq, or perjury One of the following declarations: I I have and will maintain a certificate of consent to self -insure far workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih erformenee of the work for which this permit Is issued. Policy No. 31 have and will. maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensalim --,durance carrier and policy number are: Policy Number Expiration Date of Agent cartify that, in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agm if I should become subject kiithe wo kerbs' e-qn—peennss�ahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with [hose provisions. x lature of Applicant �V�-i ✓ _.,,,,. Y - Date Ireby affirm under penaliy of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit Is Issued (Section 3097 lders Name Lender's Address my signature below, I car ify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with all applicable cry and county ordinane s and stale laws relating to building construction. I authorize representatives of this city or county to enlexlha tSV mJ"fed propertyfor Inspection purposes. 3)gnalUm of Property Owner or Aulhonzed Agee. ACTION I DATE I BY PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE, 40 AND AQM D RUI.F. TO V Civil Code), G All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the NOrIFICA110N IS NOT APPLICA61-E TO fife of the pool.